Essay: Clinical Reasoning and Framework in Healthcare System 04104

This essay provides an in-depth analysis of clinical reasoning and the clinical framework within a healthcare context. It begins with an introduction to the concept of clinical reasoning, emphasizing its importance in patient care, and then proceeds to analyze a video of a GP interviewing a patient with depressive disorder. The essay dissects the GP's approach, highlighting the application of the clinical reasoning cycle and framework in assessing the patient's mental state, identifying problems, and planning interventions. It also explores the importance of critical reasoning, the role of patient participation, and the practical application of clinical reasoning in various healthcare settings, emphasizing its role in decision-making, treatment planning, and overall patient outcomes. The essay concludes by highlighting the value of this method for healthcare professionals and its impact on patient care.

Running Head: Healthcare
Healthcare
Essay
System04104
5/5/2019

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Clinical Reasoning and Framework
Introduction
In this video, GP is asking question with a patient. After watching this video, I found
that patient is very depressed in her life and facing many problems in her life. The way
patient Alison was describing the symptoms of her depression, it touched my heart insider
and I was totally lost in her problem. The interview of GP from patient clearly shows that
how these types of people are committing suicide after facing such type of strong depressive
disorder. In the present video, Alison is a widow woman and having two children. Alison is
facing problems in sleeping; every time she is suffering with low mood and reduced energy
problems. Even when the supermarket cut her wages then she was depressed. In entire, video
that is lasting more than 14 minutes, patient was crying and weeping. Here, I am so
impressed with GP that how well she analyse the problem of patient and the way she was
asking question to Alison. Alison is 38 years old divorced lady who is suffering from various
depressive disorder problems such as low mood, reduced motivation, reduced energy,
problem of weight loss, loss of appetite, tearfulness, reduced energy etc. This video shows
that how Alison was depressed and what are the major symptoms of the depressive disorder
(Kriewaldt, Davies, Rice, Rickards, & Acquaro, 2017). After watching the video, I feel that
Alison is somehow bringing some negativity in her life and that are the major causes behind
her depression. However, in the end of the video, GP gives an explanation to Alison about
depression symptoms and tell her that she will be fine after treatment. The way she came in
the clinic and told the problems, it is a positive thing for the Alison.
What is clinical reasoning?
I think clinical reasoning cycle is the better way to detect the problems of people and
helps the doctor to detect the chronic symptoms before treatment. I was very impressed with
the way GP asked the question in very normal way to Alison that will further assist the doctor
in effective intervention of patient (Croft, Gilligan, Rasiah, Levett-Jones, & Schneider, 2018).
It has been clearly understood after watching the video that how doctor uses the clinical
reasoning cycle and framework to evaluate the mental and physical conditions of Alison and
studied that how these problems can be solved.
Clinical Reasoning process
There are eight main steps in Clinical reasoning process:

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1. Consider the patient: I have seen that GP assess the history of Alison and considers
her problems very smartly with asking question about her mental state.
2. Collect cues and Information: The clinical reasoning and framework uses the
patient situation to find information about the problem (Hunter & Arthur, 2016).
According to my opinion, the first task of a doctor or nurse to examine the patient
situation by talking with the patient. GP asked various questions to Alison and collect
information about her problem in the video.
3. Process the information: It was really awesome for me that how well GP process all
the information of Alison and about her problem for further intervention (Dalton, Gee,
& Levett-Jones, 2015)
4. Identify problem and Issues: As Alison had a history of low mood and high
depression in her life, it was well identified by GP in the video and she assess all the
problem very carefully to identify the mental state of Alison.
5. Set goals: After identifying the problem GP will set goals and will planning for
treatment of Alison.
6. Take action: After watching the video, I feel that clinical reasoning or conceptual
framework is just like a decision-making process on which final action will be taken.
GP ensures in the video that she will treat Alison and she will be fine after treatment.
7. Evaluate: Although, it is absent in the video, but GP will evaluate all the result and
then process the information for evaluating and examine the problem.
8. Outcomes: After all analysis, GP reach to a conclusion that Alison is suffering from
depression, but she will be fine after treatment.
Why Critical Reasoning is important?
Critical reasoning depends on the doctor’s conceptual though process. The conceptual
though process of a doctor that helps in future treatment and understand the problems of
patient. The key importance and advantage of this CPR method is that the prospective
questions and active participation of patient is providing exact and necessary
informationabout patient (Mather, McKay, & Allen, 2015). I have observed that in entire
video, Alison replied every question of GP and tell them about the problem what she was
asked. Therefore, the active participation of both doctor and patient in the clinical reasoning
and framework is compulsory (El-Sappagh, & Elmogy, 2016).
However, the major finding of this video is that clinical reasoning helps the doctor to
understand the situation of patient, problems related to disease, and symptoms of disease.
This concept can be used in various intervention of patient. However, I appreciate this
method for intervention of patient and disease treatment, because it is based on the practical
approach and decision-making skills. This method of intervention required higher level of
thinking and critical reasoning, but this is one of the more advanced and effective ways of

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starting treatment. It helps in preparing plan for how doctor can treat the patient and what is
the mental and physical health condition of patient.

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Referencing
Croft, H., Gilligan, C., Rasiah, R., Levett-Jones, T., & Schneider, J. (2018). Thinking in
pharmacy practice: a study of community pharmacists’ clinical reasoning in
medication supply using the think-aloud method. Pharmacy, 6(1), 1.
Dalton, L., Gee, T., & Levett-Jones, T. (2015). Using clinical reasoning and simulation-based
education to'flip'the Enrolled Nurse curriculum. Australian Journal of Advanced
Nursing, The, 33(2), 29.
El-Sappagh, S., & Elmogy, M. M. (2016). Medical case based reasoning frameworks:
Current developments and future directions. International Journal of Decision
Support System Technology (IJDSST), 8(3), 31-62.
Hunter, S., & Arthur, C. (2016). Clinical reasoning of nursing students on clinical placement:
Clinical educators' perceptions. Nurse education in practice, 18, 73-79.
Kriewaldt, J., Davies, L. M., Rice, S., Rickards, F., & Acquaro, D. (2017). Clinical practice
in education: Towards a conceptual framework. In A Companion to Research in
Teacher Education (pp. 153-166). Springer, Singapore.
Mather, C. A., McKay, A., & Allen, P. (2015). Clinical supervisors' perspectives on
delivering work integrated learning: A survey study. Nurse education today, 35(4),
625-631.